| NPI | 1629686183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIE SUE VARGAS Speech Language Pathologist 702-343-1673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |